Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Fatty liver (hepatic steatosis) occurs when excess fat accumulates in liver cells. In early stages, the liver often functions normally, but if left untreated, fat buildup can lead to inflammation, scarring, and long-term liver damage. Timely diagnosis and care help protect your liver and prevent complications.
He reviews your medical history, alcohol use, medications, and risk factors, then performs a physical exam to check for signs of liver enlargement.
We check liver enzyme levels (ALT, AST), assess cholesterol and triglycerides, and rule out other causes of liver injury.
Occasionally, a liver biopsy is recommended to confirm the diagnosis or gauge inflammation and scarring.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Fat often collects in the liver due to obesity or rapid weight gain, type 2 diabetes or insulin resistance, high cholesterol/triglycerides, poor diet, or excessive alcohol use. Dr. Chadha evaluates all these factors at your first visit.
Adopt a balanced, calorie-controlled diet, increase regular exercise, and avoid excess alcohol. At GastroDoxs, Dr. Chadha builds a personalized plan to help you bring your liver enzymes back to normal.
Noninvasive imaging tools like ultrasound and FibroScan measure liver fat and stiffness. These tests are available at our Westheimer clinic and don�t require surgery.
In some cases, Dr. Chadha may prescribe medications to improve insulin sensitivity, cholesterol-lowering drugs, or vitamin E. He tailors any prescription to your lab results and overall health.
Life expectancy depends on the disease stage. Early NASH managed with diet, exercise, and follow-up often allows people to live a normal lifespan. Dr. Chadha will review your individual prognosis.
Most patients avoid a liver biopsy. Dr. Chadha relies on blood tests, imaging, and FibroScan to assess liver health, reserving biopsy for cases where precise staging is essential.
